Healthcare Provider Details

I. General information

NPI: 1942526751
Provider Name (Legal Business Name): SHAUN ERIK GARCIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2010
Last Update Date: 04/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 MUELLER BLVD
AUSTIN TX
78723-3079
US

IV. Provider business mailing address

499 DINI ROZI DR
SOCORRO TX
79927-3253
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-0165
  • Fax:
Mailing address:
  • Phone: 915-603-0633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberBP1-0036637
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: